September 10, 2025FACE

The Burden of Braces in Cleft Care

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Families face significant challenges in securing insurance reimbursement for braces in cleft care, highlighting systemic issues.
Around 43.9% of families filed claims with their medical insurance, with varying claim durations impacting treatment timelines.
Preauthorization requirements led to delays in 35.9% of cases, indicating the need for enhanced processes in insurance coverage.
With an average of 37.9% and 35.2% coverage by medical and dental insurance, respectively, families incur a median out-of-pocket cost of $2580.75.

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Survey highlights barriers to orthodontic insurance coverage for pediatric patients, suggesting reforms are necessary.

Palmer et al. (2025) studied this question.

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